国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2014年
7期
1596-1599
,共4页
多元化%连续护理%冠心病%心脏康复%院外医疗%二级预防%生活质量
多元化%連續護理%冠心病%心髒康複%院外醫療%二級預防%生活質量
다원화%련속호리%관심병%심장강복%원외의료%이급예방%생활질량
Diversified%Continuous care model%Coronary heart disease%Cardiac rehabilitation%Outside the hospital medical%Secondary prevention%Quality of life
目的：探讨医院、社区、家庭多元化因素实施连续性护理模式对出院后冠心病患者心脏康复的效果。方法选取2011年1月至2013年1月我院心内科病房治疗出院的急性心血管事件患者151例作为研究对象，出院时及康复后1年由专职医生进行生活质量调查；监测血压、血糖、血脂达标率；进行再发心血管事件的调查。结果两组患者出院时血压、血糖、血脂异常的发生率差异无统计学意义（P＞0.05），康复后1年，观察组患者的血压、血糖、血脂异常发生率均显著低于对照组（P＜0.01）；出院时生活质量评分差异无统计学意义（P＞0.05），随访1年后，观察组患者的生活质量评分显著高于对照组（P＜0.05～0.01）；两组患者再入院率比较差异有统计学意义（ P＜0.05）。结论多元化连续性护理模式可提高患者生活质量，促进血压、血糖、血脂达标，降低心血管事件再发率，是冠心病患者院外早期心脏康复的有效措施，值得应用和推广。
目的：探討醫院、社區、傢庭多元化因素實施連續性護理模式對齣院後冠心病患者心髒康複的效果。方法選取2011年1月至2013年1月我院心內科病房治療齣院的急性心血管事件患者151例作為研究對象，齣院時及康複後1年由專職醫生進行生活質量調查；鑑測血壓、血糖、血脂達標率；進行再髮心血管事件的調查。結果兩組患者齣院時血壓、血糖、血脂異常的髮生率差異無統計學意義（P＞0.05），康複後1年，觀察組患者的血壓、血糖、血脂異常髮生率均顯著低于對照組（P＜0.01）；齣院時生活質量評分差異無統計學意義（P＞0.05），隨訪1年後，觀察組患者的生活質量評分顯著高于對照組（P＜0.05～0.01）；兩組患者再入院率比較差異有統計學意義（ P＜0.05）。結論多元化連續性護理模式可提高患者生活質量，促進血壓、血糖、血脂達標，降低心血管事件再髮率，是冠心病患者院外早期心髒康複的有效措施，值得應用和推廣。
목적：탐토의원、사구、가정다원화인소실시련속성호리모식대출원후관심병환자심장강복적효과。방법선취2011년1월지2013년1월아원심내과병방치료출원적급성심혈관사건환자151례작위연구대상，출원시급강복후1년유전직의생진행생활질량조사；감측혈압、혈당、혈지체표솔；진행재발심혈관사건적조사。결과량조환자출원시혈압、혈당、혈지이상적발생솔차이무통계학의의（P＞0.05），강복후1년，관찰조환자적혈압、혈당、혈지이상발생솔균현저저우대조조（P＜0.01）；출원시생활질량평분차이무통계학의의（P＞0.05），수방1년후，관찰조환자적생활질량평분현저고우대조조（P＜0.05～0.01）；량조환자재입원솔비교차이유통계학의의（ P＜0.05）。결론다원화련속성호리모식가제고환자생활질량，촉진혈압、혈당、혈지체표，강저심혈관사건재발솔，시관심병환자원외조기심장강복적유효조시，치득응용화추엄。
Objective To explore the effect of hospitals , communities , families diversified factors implementing continuous nursing model on the post -discharge cardiac rehabilitation of patients with coronary heart disease ( CHD) .Methods A total of 151 patients with coronary heart disease were selected from January 2011 to January 2013 in our hospital and divided into observation group and control group . When they discharged from hospital and rehabilitation after 1 year, they were surveyed by the full -time doctors on quality of life , blood pressure, blood sugar, blood fat success rate, recurrence of cardiovascular vents.Results When two groups of patients discharged from hos-pital, there was no significant difference in the incidence rate of abnormal blood pressure , blood sugar, blood fat (P>0.05) and 1 year after the rehabilitation , the observation group of patients with abnormal blood pressure , blood sugar , blood lipid rate were significantly lower than those in the control group ( P<0.01 ) .There was no significant difference in discharge quality of life score significance ( P>0.05 ) , and fol-lowed up for 1 years later, the quality of life score in observation group of patients was significantly higher than that of the control group (P<0.05~0.01 ) .The difference of two groups of patients with readmission rate was statistically significant ( P<0.05 ) .Conclusions Diver-sified continuous care model can improve the life quality of patients , promote the blood pressure , blood sugar , blood fat to reach standard , be a effective measures for the early cardiac rehabilitation , and it is wothing spreading in clinic .
